During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?

No

2

Has the foundation engaged in any activities that have not previously been reported to the IRS?

No

3

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments?

No

4

Did the foundation file a tax return on Form 990-T for this year for unrelated business gross income of $1,000 or more during the year?

No

5

Was there a liquidation, termination, dissolution, or substantial contraction during the year?

No

6

Did the foundation have at least $5,000 in assets at any time during the year; and if so, did the foundation furnish a copy of Form 990-PF to the Attorney General of each state as required by General Instruction G?

Yes

7

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for this calendar year or taxable year?

No

8

Did any persons become substantial contributors during the tax year?

No

9

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?

No

10

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

11

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041

No

12

During the year did the foundation engage in the sale or exchange, or leasing of property with a disqualified person?

No

13

During the year did the foundation borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person?

No

14

During the year did the foundation furnish goods, services, or facilities to (or accept them from) a disqualified person?

No

15

During the year did the foundation pay compensation to, or pay or reimburse the expenses of, a disqualified person?

Yes

16

During the year did the foundation transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)?

No

17

During the year did the foundation agree to pay money or property to a government official?

No

18

If any answer is 'Yes' to any previous six questions, did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance?

No

19

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected before the first day of the tax year?

No

20

At the end of tax year, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before the tax year?

No

21

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year’s undistributed income?

No

22

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year?

No

23

Did it have excess business holdings this year as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period?

No

24

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

No

25

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year?

No

26

During the year, did the foundation pay or incur any amount to carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?

No

27

During the year, did the foundation pay or incur any amount to influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive?

No

28

During the year, did the foundation pay or incur any amount to provide a grant to an individual for travel, study, or other similar purposes?

Yes

29

During the year, did the foundation pay or incur any amount to provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)?

No

30

During the year, did the foundation pay or incur any amount to provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals?

No

31

Did any of the above five transactions fail to qualify under the exceptions described in regulations section 53.4945 or in a current notice regarding disaster assistance?

No

32

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

No

33

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?